Form E-AHCCCS: AHCCCS Contractor Quarterly Premium Tax Report

Premium tax report for AHCCCS contractors.  Updated 12/6/2018

Warning - Phishing Scam

We are aware of a phishing scam targeting insurance professionals claiming that the National Association of Insurance Commissioners received a complaint that the professional submitted a falsified claim. This fraudulent email displays the NAIC and CIPR logos, can originate from what appears to be an or email account, and instructs the recipient to click on a link to download the complaint notification.

Certain antivirus products will detect this as a malicious email.  If you receive a similar email and have any concerns, contact the NAIC Service Desk at (816) 783-8500 or [email protected].

AHCCCS Contractor Tax Payment: Quick Reference Guide (State Agencies)

For use by Arizona State Agency contractors only.  Step-by-step instructions for for state-agency AHCCCS contractors to use to submit the tax report and complete the ITA (Internal Transaction Agreement).  Updated 12/6/2015.